Table 3 Clinical audit of ED pain indicators
| Â | All Children | Painful Conditionsb |
|---|---|---|
N = 72,735 | N = 28,615 | |
Pain score at triage by agea | n = 32,042 (44.1%) | n = 14,522 (50.8%) |
 Newborn | 628 (35.7) | 42 (30.6) |
 Infant | 7939 (39.9) | 1594 (45.3) |
 Preschool | 9141 (43.8) | 3857 (49.1) |
 Child | 10,038 (47.8) | 6365 (52.4) |
 Adolescent | 4296 (46.8) | 2664 (53.6) |
Analgesia given by age | n = 36,329 (49.9%) | n = 18,628 (65.1%) |
 Newborn | 92 (5.2) | 14 (10.2) |
 Infant | 8685 (43.6) | 1708 (48.6) |
 Preschool | 10,545 (50.5) | 4683 (59.6) |
 Child | 12,164 (58.0) | 8609 (70.9) |
 Adolescent | 4843(51.7) | 3614 (72.7) |
First analgesia administered | ||
 Fentanyl (intranasal) | 1341 (3.7) | 1002 (5.4) |
 Oxycodone (oral) | 1289 (3.6) | 956 (5.1) |
 Morphine (intravenous) | 123 (0.3) | 80 (0.4) |
 Paracetamol (oral, per rectum, intravenous) | 19,304 (53.1) | 8860 (47.6) |
 Ibuprofen (oral) | 14,269 (39.3) | 7730 (41.5) |
First analgesia initiated by | ||
 Medical Intern | 545 (1.5) | 161 (0.9) |
 Resident Medical Officer | 6490 (17.9) | 2208 (11.8) |
 Medical Registrar | 12,110 (33.3) | 5464 (29.3) |
 Senior Medical Officer | 4032 (11.1) | 1850 (9.9) |
 Nurse Practitioner | 1080 (3.0) | 849 (4.6) |
 Registered Nurse | 12,071 (33.2) | 8097 (43.5) |
First opioid analgesia initiated by | n = 6190 (%) | n = 4603 (%) |
 Medical Intern | 56 (0.9) | 35 (0.8) |
 Resident Medical Officer | 1157 (18.6) | 793 (17.2) |
 Medical Registrar | 3259 (52.7) | 2442 (53.1) |
 Senior Medical Officer | 1242 (20.1) | 903 (19.6) |
 Registered Nurse | 158 (2.6) | 142 (3.1) |
 Nurse Practitioner | 318 (5.1) | 288 (6.2) |
Time to first analgesia by triage categoryc | Median minutes (IQR) | Median minutes (IQR) |
 All categories | 57.0 (31.0-104.0) | 44.0 (25.0-81.0) |
 ATS1 (immediate) | 37.0 (17.0-112.0) | 26.0 (13.0-64.0) |
 ATS2 (10 min) | 43.0 (23.0-106.0) | 29.0 (18.0-50.0) |
 ATS3 (30 min) | 59.0 (33.0-107.0) | 45.0 (26.0-82.0) |
 ATS4 (60 min) | 60.0 (32.0-103.0) | 48.0 (27.0-86.0) |
 ATS5 (120 min) | 56.0 (30.0-93.0) | 46.0 (26.0-80.0) |
Time to first analgesia by age | ||
 Newborn | 152.0 (75.0-284.0) | 75.0 (50.0-85.0) |
 Infant | 75.0 (40.0-124.0) | 55.0 (31.0-98.0) |
 Preschool | 61.0 (33.0-109.0) | 48.0 (26.0-87.0) |
 Child | 49.0 (28.0-91.0) | 43.0 (25.0-79.0) |
 Adolescent | 45.0 (24.0-84.0) | 39.0 (23.0-73.0) |
Time to first opioid analgesia by age | ||
 Newborn | 141.5 (80.5-208.0) | 80.5 (59-102) |
 Infant | 85.0 (40.0-152.0) | 68.0 (32-131.0) |
 Preschool | 86.0 (40.0-143.0) | 80.0 (35.0-135.0) |
 Child | 67.0 (32.0-129) | 61.0 (29.0-124.0) |
 Adolescent | 57.0 (29.0-114.0) | 52.0 (28.0-106.0) |
Time to first analgesia initiated by | ||
 Medical Intern | 97.0 (59.0-150.0) | 78.0 (36.0-129.0) |
 Resident Medical Officer | 90.0 (49.0-141.0) | 72.0 (35.0-124.0) |
 Medical Registrar | 72.0 (38.0-126.0) | 56.0 (31.0-98.0) |
 Senior Medical Officer | 63.0 (34.0-111.0) | 49.0 (28.0-89.0) |
 Registered Nurse | 38.0 (23.0-66.0) | 34.0 (21.0-59.0) |
 Nurse Practitioner | 53.0 (33.0-93.0) | 50.0 (31.0-91.0) |
Time to first opioid analgesia initiated by | ||
 Medical Intern | 102.0 (52.0-193.0) | 88.0 (41.0-148.0) |
 Resident Medical Officer | 83.0 (34.0-152.0) | 73.5 (29.0-141) |
 Medical Registrar | 76.0 (35.0-135.0) | 66.0 (32.0-123.0) |
 Senior Medical Officer | 59.0 (30.0-123.0) | 52.0 (27.5-106.0) |
 Registered Nurse | 26.5 (20.0-39.0) | 25.0 (20.0-38.0) |
 Nurse Practitioner | 90.5 (48.0-134.0) | 85.0 (44.5-131.5) |